FAMILY REGISTRATION

In order to complete your 2012 on-line registration, you must do the following:

1. Complete the registration form below.

        2. After filling out the form AND before submitting it, please
            PRINT a copy of the form for your own records.

        3. After Submitting your Registration, pay for your registration by selecting the items on

the Pay-Pal page that you submitted on the Registration Form.

If you prefer to pay directly to LOMT, you will need to go to the printable registration form and mail it
with your payment.

Family Event Rates

LOMT Family Events at Camp Lone Star are priced with an adult rate (over age 18), a youth rate (age 5-18) and children under age 5 are NO CHARGE. For planning purposes we need to know the names and ages of all participants attending, whether they are charged or not. Please complete the bottom portion of the registration form and list all camp attendees in your family.

LOMT Cancellation/Refund Policy for Family Camp Weekend

If a cancellation request is made two (2) weeks or more before the check-in date of the camp session registered for, the registration and other fees minus $50 per weekend session adult and $25.00 per paying child may be refunded or transferred to another session.

If the cancellation request is made less than two (2) weeks before the check-in date of the camp session registered for, ONLY IF a replacement family is secured will the registration and other fees minus $50 per weekend session adult and $25.00 per paying child may be refunded or transferred to another session.

For cancellation requests made less than twenty-four (24) hours before check-in, there will be no refund or transfer of registration fees.

The Administrative Team may make exceptions for medical reasons when provided substantive documentation.

LOMT 2012 Family Registration Form (all required fields are marked with an*)

Your Name: First* Last*
Spouse's Name (If attending):
Home Mailing Address:*
Home City:* State:* Zip:*
Home Church and City:
Daytime Phone:* ( ) -
Cell Phone: ( )- Evening Phone: ( )-
E-Mail address:* I request confirmation packet by:* Email Regular Mail

Registration for:*

Family Camp 2 (June 15-17)
Family Camp 4 (June 29 - July 1)

Other Participants Attending:

1st Participant: First Name Last Name
Date of Birth: Mo Day Year Gender Male Female

2nd Participant: First Name Last Name
Date of Birth: Mo Day Year Gender Male Female

3rd Participant: First Name Last Name
Date of Birth: Mo Day Year Gender Male Female

4th Participant: First Name Last Name
Date of Birth: Mo Day Year Gender Male Female

5th Participant: First Name Last Name
Date of Birth: Mo Day Year Gender Male Female

6th Participant: First Name Last Name
Date of Birth: Mo Day Year Gender Male Female

7th Participant: First Name Last Name
Date of Birth: Mo Day Year Gender Male Female

8th Participant: First Name Last Name
Date of Birth: Mo Day Year Gender Male Female

Pease let us know how you learned about Camp Lone Star

I heard about Camp Lone Star at a presentation

I saw Camp Lone Star on my church video/bulletin board

I read about Camp Lone Star in a magazine

Other

Enter Promotion Code

Please Print a copy of this Registration Form for your records before you submit it!

To contact the LOMT Registration Office:
Mailing Address: P.O. Box 457, La Grange, Texas 78945
E-mail Address: registrar@LOMT.com
Telephone: Local 979- 247- 4128
Long distance: 800-362-2078
Fax: 979- 247- 4120

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